副嗜沫嗜血杆菌性脊椎骨髓炎
Haemophilus paraphrophilus vertebral osteomyelitis.
作者信息
Wilson C M, Reiss-Levy E A, Sturgess A D, Au T C
机构信息
Department of Microbiology, Southpath, St George Hospital, Kogarah, NSW.
出版信息
Med J Aust. 1994 Apr 18;160(8):512-4.
OBJECTIVE
To report the first case of Haemophilus paraphrophilus vertebral osteomyelitis--the second reported case of osteomyelitis of any site caused by this organism.
CLINICAL FEATURES
A 41-year-old male bus driver with no significant previous medical history presented with severe abdominal and back pain, which was eventually localised to the eleventh thoracic vertebra (T11). H. paraphrophilus was isolated from pus aspirated from the vertebral body.
INTERVENTIONS AND OUTCOME
The patient was treated with penicillin given intravenously for four weeks, then with antibiotics given orally for a further three weeks, with good clinical response.
CONCLUSION
H. paraphrophilus is an infrequent pathogen which may be difficult to identify and test for antibiotic susceptibility, but can cause serious infection, including primary haematogenous osteomyelitis.
目的
报告首例副嗜沫嗜血杆菌性脊椎骨髓炎——该病原体引起的任何部位骨髓炎的第二例报告病例。
临床特征
一名41岁男性公交车司机，既往无重大病史，出现严重腹痛和背痛，最终疼痛定位于第十一胸椎（T11）。从椎体抽出的脓液中分离出副嗜沫嗜血杆菌。
干预措施与结果
患者接受静脉注射青霉素治疗四周，然后口服抗生素再治疗三周，临床反应良好。
结论
副嗜沫嗜血杆菌是一种罕见病原体，可能难以识别和进行抗生素敏感性检测，但可引起严重感染，包括原发性血源性骨髓炎。
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